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Food as source of outbreaks of group A streptococcal disease
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A recent report described an outbreak of scarlet fever in a primary school.1 The outbreak investigation concluded that person-to-person transmission was the main source of transmission. This does not explain the simultaneous illness in a large number of children (n=29) occurring within 5 days and ongoing transmission over a month despite rigorous exclusion of cases …
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Competing interests None.
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Provenance and peer review Not commissioned; externally peer reviewed.